Galea Fixation in Alopecia Reduction Surgery

BACKGROUND: Alopecia reduction surgery, because of a high incidence of complications, has become a seldom used operation. OBJECTIVE: To show that galea fixation alopecia removal/scalp reduction is simple, safe, highly effective, and largely complication-free. METHODS: Conclusions derived are based on studies of more than 1000 alopecia removal operations, done personally, including 700 performed as part of a surgical research project with specific protocols and goals. CONCLUSIONS: Effective, safe alopecia reduction surgery is possible when incision patterns do not transect either neurovascular structures or collagen and undermining is judicious. Deep plan fixation is regarded as critical to an optimal result.